LEGACY UB-92 (715)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM LEGACY UB-92
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 48
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 30
LENGTH 19
SHORT DESCRIPTION CERT-SSN-HIC-ID NO (FL-60A:C)